
Get the free VAWA Self-Certification Form - Town of Union
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RECERTIFICATION OF DOMESTIC U.S. Department of Housing OMB Approval No. 25770249 VIOLENCE, DATING VIOLENCE, and Urban Development Exp. (05/31/2007) OR STALKING Office of Public and Indian Housing
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How to fill out vawa self-certification form

How to fill out vawa self-certification form:
01
Gather all necessary information and documents, such as personal identification, proof of your relationship to the abuser, evidence of abuse, and any supporting documentation.
02
Carefully read through the instructions provided with the form to understand what information is required and how it should be filled out.
03
Begin by entering your personal details, such as your name, date of birth, address, and contact information.
04
Provide information about the abuser, including their full name, date of birth, and relationship to you.
05
Specify the type of abuse you have experienced (e.g., physical, sexual, emotional) and provide as much detail as possible to support your claim. Include dates, locations, witnesses, and any other relevant information.
06
If you have obtained any protective orders or law enforcement records related to the abuse, provide the details and attach copies of these documents to the form.
07
Describe any attempts you have made to contact law enforcement, seek medical treatment, or obtain counseling for the abuse. Include dates and details to support your statements.
08
If you have any children involved in the situation, provide their names and dates of birth, and describe any abuse they may have witnessed or experienced.
09
Sign and date the form, certifying that all the information provided is true and accurate to the best of your knowledge.
10
Keep a copy of the completed form for your records before submitting it to the appropriate agency or organization that requires it.
Who needs vawa self-certification form:
01
The vawa self-certification form is typically required by individuals who are seeking protection under the Violence Against Women Act (VAWA).
02
It is specifically designed for victims of domestic violence, sexual assault, or stalking who are non-U.S. citizens or permanent residents and are applying for immigration relief through VAWA.
03
This form may also be necessary for individuals who are submitting a petition for an immigrant visa based on their status as a victim of abuse by a U.S. citizen or permanent resident.
04
The form helps to establish the eligibility of the applicant for VAWA immigration benefits and serves as a self-certification statement attesting to the truth of the information provided regarding the abuse suffered.
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What is vawa self-certification form?
The VAWA self-certification form is a document that allows individuals to confirm that they meet the criteria for protection under the Violence Against Women Act (VAWA).
Who is required to file vawa self-certification form?
Any individual who believes they are a victim of domestic violence, sexual assault, or stalking, and wish to qualify for protections under VAWA, are required to file the self-certification form.
How to fill out vawa self-certification form?
To fill out the VAWA self-certification form, you need to provide personal information such as name, contact details, and relevant details about the domestic violence, sexual assault, or stalking incidents you have experienced. The form must be completed accurately and truthfully.
What is the purpose of vawa self-certification form?
The purpose of the VAWA self-certification form is to determine if an individual meets the eligibility requirements for protection under VAWA. It serves as a declaration of the victim's status and helps in accessing necessary services and benefits.
What information must be reported on vawa self-certification form?
The VAWA self-certification form requires the reporting of personal information such as name, contact details, and identification documents. It also requires details about the incidents of domestic violence, sexual assault, or stalking experienced by the individual.
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